ITHACA PODIATRY ASSOCIATES (NPI# 1063683142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063683142 |
| Entity Type | Organization |
| Organization Name | ITHACA PODIATRY ASSOCIATES |
| Practice Address |
2333 N Triphammer Rd Suite 202 Ithaca NY 14850-1082 |
| Practice Telephone | 6072577700 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | JEFFREY KADLECIK X (OWNER) |
| Authorized Official Telephone | 6072577700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | N005805 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02195908 | 05 |
| Street Address |
2333 N TRIPHAMMER RD SUITE 202 |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740271212 | Ralph Michael Bishop | Ophthalmology | 2333 N Triphammer Rd, Suite 401, Ithaca, NY 14850-1082 | 2005-11-02 |
| 1124561543 | Sleep Focused Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 2333 N Triphammer Rd, Suite 304, Ithaca, NY 14850-1082 | 2016-12-03 |
| 1639434707 | Anthony Alvaro Raggi | Dentist | 2333 N Triphammer Rd, Suite 304, Ithaca, NY 14850 | 2012-07-05 |
| 1730470436 | Ethna Murphy Hinrichsen | Physician Assistant | 2333 N Triphammer Rd, Ste. 203, Ithaca, NY 14850-1082 | 2011-04-28 |
| 1609170992 | Josephine C. Mcallister, M.d., LLC | Dermatology | 2333 N Triphammer Rd, Suite 203, Ithaca, NY 14850-1082 | 2011-01-01 |
| 1558682294 | Jeremy J Zobel | Dentist | 2333 N Triphammer Rd, Suite 303, Ithaca, NY 14850-1082 | 2010-06-17 |
| 1396062121 | Robert T. Horn, Jr., M.d. | Dermatology | 2333 N Triphammer Rd, Suite 203, Ithaca, NY 14850-1082 | 2010-05-04 |
| 1689904302 | Dental Care With A Difference, PC | Dentist | 2333 N Triphammer Rd, Suite 304, Ithaca, NY 14850-1082 | 2009-12-31 |
| 1477762524 | Kathryn Marie Karpinski | Dentist | 2333 N Triphammer Rd, Ithaca, NY 14850-1082 | 2007-05-22 |
| 1336356609 | Jamie Seth Gartenberg | Dentist | 2333 N Triphammer Rd, Suite 502, Ithaca, NY 14850-1082 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437478088 | Mobile Prosthetics of Michigan Corp | Prosthetic/Orthotic Supplier | 1326 E Center St Ste 2, Ithaca, MI 48847-1619 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796545 | Ffh Concepts LLC | Prosthetic/Orthotic Supplier | 545 Saw Mill River Rd Ste 1a, Ardsley, NY 10502-2159 | 2020-03-27 |
| 1417584046 | Alta Vista Inc. | Prosthetic/Orthotic Supplier | 420 Madison Ave Fl 2, New York, NY 10017-1195 | 2020-03-24 |
| 1114554904 | Britica Management Group Inc | Prosthetic/Orthotic Supplier | 40 Gardenville Pkwy Ste 200, West Seneca, NY 14224-1399 | 2020-03-24 |
| 1992332837 | Genesis II Hair Replacement Studio | Prosthetic/Orthotic Supplier | 405 E Taft Rd, North Syracuse, NY 13212-3734 | 2020-03-23 |
| 1548895113 | East Coast Orthotic & Prosthetic Corp. | Prosthetic/Orthotic Supplier | 326 2nd Ave, New York, NY 10003-2732 | 2020-03-04 |
| 1154964955 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 6604 State Highway 56 Apt 6, Potsdam, NY 13676-3546 | 2019-10-24 |
| 1285275354 | Chanta Mabry | Prosthetic/Orthotic Supplier | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 |
| 1659921716 | Millenium Medical Products, Inc | Prosthetic/Orthotic Supplier | 204 19 12th Ave, Rockaway Point, NY 11697-1120 | 2019-09-19 |
| 1700435278 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 200 Old Country Rd Ste 590a, Mineola, NY 11501-4235 | 2019-09-08 |
| 1265081731 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1393 Veterans Memorial Hwy Ste 112n, Hauppauge, NY 11788-3066 | 2019-09-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.